For Your Child

Teen Driving Education to Prevent Injuries

Experts say that safe driving education should be part of routine physicals for teens. Pediatricians are advised to ask teenagers during regular physical exams if they are driving.

In 2001 alone, 3,600 teens died in car accidents and 337,000 were injured, according to the National Highway Traffic Safety Administration.

Dr. Letitia Dzirasa, at Johns Hopkins Children's Center, says that car accidents kill more 15- to -20-year-olds than any single disease. She believes teenage driving should be considered a risky behavior, in need of as much attention as unprotected sex or underage drinking.

"Pediatricians talk to their teen patients about eating disorders, alcohol, and marijuana use," says Dr. Dzirasa. "But the one conversation that is not happening often enough is about the number-one killer of teenagers: car accidents."

Pediatricians Asked to Help Educate

Ask specific questions about medication use, use of alcohol, night-time driving, seatbelt use, use of a cell phone while driving.

Encourage parents to place driving restrictions on their teenagers, such as making sure the novice driver is accompanied by an adult.

Ask parents to consider a written contract with their children, establishing the rules of engagement and penalties for failure to follow them.

Remind teens and parents that many state laws restrict cell phone use and nighttime driving for novice drivers.

Dr. Dzirasa also urges pediatricians to learn about their state's driving laws and discuss them with both teens and parents.

Maryland has a graduated driver's licensing (GDL) law that eases novice drivers into driving in three stages: learner's permit, provisional license, and driver's license. This allows drivers to gain experience gradually.

Hazards to Safety are Many

Research shows that graduated licensing reduces both the number of accidents and the number of severe injuries, says Dr. Dzirasa. For example, one study shows that graduated licensing led to 35 percent fewer crashes that require hospitalizations among 16-year-olds.

Other studies have shown that the crash rate among 16-year-olds dropped by 26 percent to 41 percent in the first year after the adoption of a graduated licensing law.

High-risk behaviors or conditions among teen drivers include:

lack of experience

non-use of seatbelts

alcohol and other drug use

common pediatric conditions, such as ADHD, that increase accident risk

use of cell phones and audio equipment that distract drivers

night-time driving

thinking that "it can't happen to me," which is typical for teenagers and young people